A framework for overcoming disparities in management of acute coronary syndromes in the Australian Aboriginal and Torres Strait Islander population. A consensus statement from the National Heart Foundation of Australia.

Author(s)
Ilton, Marcus
Walsh, Warren F
Brown, Alex D H
Tideman, Philip A
Zeitz, Christopher J
Wilson, Jinty
Publication Date
2014-06-16
Abstract
Aboriginal and Torres Strait Islander patients with acute coronary syndromes (ACS) experience lower intervention rates and poorer outcomes compared with non-Indigenous patients. A broad range of geographical, cultural and systemic factors contribute to delays and suboptimal treatment for ACS. Every Indigenous ACS patient, regardless of where they live, should be able to expect a coordinated, patient-centred pathway of care provided by designated provider clinical networks and supported by Indigenous cardiac coordinators, Aboriginal liaison officers (ALOs) and health workers. These designated provider clinical networks provide: appropriate prehospital and inhospital treatment an individualised patient care plan developed jointly with the patient and his or her family culturally appropriate education initiated within the hospital setting and involving families with support from ALOs effective follow-up care and access to relevant secondary prevention programs. We outline generic pathways to provide policymakers, health planners and health care providers with a framework for ACS diagnosis and management that can be implemented across the diverse settings in which Aboriginal and Torres Strait Islander people reside and their care is delivered, in order to optimise care and assertively address the current disparities in outcomes.
Citation
The Medical journal of Australia 2014-06-16; 200(11): 639-43
Pubmed ID
https://pubmed.ncbi.nlm.nih.gov/24938344/?otool=iaurydwlib
Link
MESH subject
Acute Coronary Syndrome
Australia
Health Personnel
Health Services, Indigenous
Humans
Consensus
Health Status Indicators
Healthcare Disparities
Oceanic Ancestry Group
Societies, Medical
Title
A framework for overcoming disparities in management of acute coronary syndromes in the Australian Aboriginal and Torres Strait Islander population. A consensus statement from the National Heart Foundation of Australia.
Type of document
Journal Article
Entity Type
Publication

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